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Functional Integrative Rehabilitation Education

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Proprioception and Needling

Get the most out of what you do!

 

When it comes to needling and exercise, proprioception is King.

What is proprioception? It is body position awareness; ie: knowing what your limbs are doing without having to look at them. We talk about this all the time in our seminars. Some studies use specific points, others general ones, but they boil down to "needling improves . . .

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February 06, 2018

The SCM and Gait

We remember that we have 3 systems that keep us upright in the gravitational plane: The visual system, The vestibular system and the proprioceptive system. As we age, we seem to become more dependent upon the visual system to maintain stability of the head (which is largely under the purview of the vestibular system).  Older folks seem . . .

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January 12, 2018

The 1st MTP

Functional Anatomy, Trigger Points and More...

Good Morning

 

I just released a new video excerpted from a recent Level 2 TPDN course. It's about one of my favorite articulations, the 1st MTP. One of the most important and most distal joints involved with the gait cycle whose dysfunction leads to a constellation of problems north in the kinetic chain.

 

Enjoy : )

 

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October 02, 2017

Beyond Needling Trigger Points

Beyond the Trigger Point

Many of us needle. We are taught to dry needle trigger points and sometimes (especially in the seminars I teach), to needle the segmental innervation of the muscle involved. But should we do more? I think so, and here is one paper on incorporating needling myofascial meridians along with trigger points that supports . . .

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September 25, 2017

The Quadratus Femoris

An often overlooked culprit

We often find clinically that the quadratus femoris as becoming the 1st dysfunctional muscle of the deep 6 external rotators (1) and its pain referral pattern can mimic the piriformis (2) and piriformis syndrome (3) as well as hamstring insertional tendinitis.  It has also been implicated in some cases of femoroacetabular . . .

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May 18, 2017

More on that post operative fractured foot

the second article in a series

 

This is part 2 of a series following a case. If you missed part 1, please go here and read what we found. 

The patient returns 1 week later and reports being approximately 25% improved. She has been performing her "toes up" exercises while walking all the time. She is having some difficulty still with balance. She has . . .

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March 14, 2017

A Serial Case

Lets follow what I did on a recent post fracture foot

In this series, we will follow the progress of a post surgical, post rehab foot. These are the actual case notes and you can follow my thought process as we move along. 

Silvrback blog image

History:

JM presented with left-sided content foot pain. On July 24 she broke her left navicular and cuboid (pretty unusual, as these fractures are rare. Navicular . . .

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February 23, 2017

Archive

All Categories: needling(40) tpdn(38) acupuncture(27) dry needling(26) trigger point dry needling(16) trigger point dry needling instruction(13) gait(12) dry needling instruction(11) deep needling(11) trigger point dry needling seminar(11) muscle layers(10) peroneus longus(9) rehab(9) trigger point dry needling seminars(9) peroneus(8) dry needling seminar(8) education(7) intramuscular therapy(7) rehabilitation(7) posterior(7) muscle action(7) trigger point seminar(7) foot(7) muscle(7) trigger point dry needling course(6) dry needling course(6) myofascial(6) trigger point dry needling courses(6) intramuscular(6) muscles(5) clinical exam(5) continuing education(5) instability(5) rectus(5) dysfunction(5) 1st mtp(4) gluteus medius(4) exam(4) gluteus maximus(4) vastus lateralis(4) rectus femoris(4) lumbar instability(4) spinal instability(4) femoris(4) vastus intermedius(4) lumbar(4) lateralis(4) neurology(4) seminar(4) quadratus(4) course(4) nerve(3) large diameter afferents(3) tibialis posterior(3) spacial summation(3) temporal summation(3) ppd(3) headache(3) headaches(3) stimulation(3) trigger(3) continuing(3) suboccipital muscles(3) soleus(3) extensor digitorum brevis(3) cuboid(3) gluteus minimus(3) capitis(3) chronic(3) ankle(3) tibialis(3) major(3) fibers(3) vastus(3) sensory(3) minor(3) fiber(3) obliquus(3) inferior(3) 1st ray(3) superior(3) suboccipital(3) cai(2) pain(2) flexor(2) hip(2) changes(2) vascular(2) vascular changes(2) sensory nerve fibers(2) counting(2) summation(2) temporal(2) clinical(2) cervical instability(2) cervical(2) meridians(2) afferents(2) large(2) sensation(2) ehb(2) gluteus(2) extensor hallucis brevis(2) spine(2) therapy(2) neck(2) quadriceps(2) trapezius(2) shoulder pain(2) shoulder(2) scapula(2) gon(2) levator scapula(2) levator(2) joint(2) glute(2) back(2) low(2) lbp(2) multifidus(2) facilitation(2) fracture(2) navicular(2) extensor digitorum longus(2) obliquus capitis inferior(2) rectus capitis inferior(2) 1st(2) plantae(2) quadrates plantae(2) intrinsics(2) gastroc(2) proprioception(2) electrical(1) test(1) vibratory sense(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) sense(1) proprioceptive(1) deep(1) knee(1) osteoarthritis(1) vibratory(1) qp(1) needle(1) meridian(1) divergence(1) parkinsons(1) scm(1) convergence(1) lift(1) multifidus lift test(1) low back pain(1) layers(1) iliotibial band(1) sternocleidomastoid(1) sterno(1) cleido(1) mastoid(1) it band(1) gastrocnemius(1) tensor fascia lata(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) quadratus femoris(1) hip pain(1) hamstring(1) insertional tendinitis(1) tfl(1) iliacus(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) gait cycle(1) latissimus dorsi(1) posterior oblique sling(1) oblique(1) sling(1) electrical stimulation(1) thoracic spine(1) psoas(1) thoracic(1) it(1) brevis(1) hip flexor(1) calcaneocuboid(1) hallicis(1) superficial(1) posterior chain(1) locking mechanism(1) vastus medialis(1) greater occipital nerve(1) hallucis(1) extensor(1) denervation(1) spinal(1) vibration(1) upper(1) exercise(1) diameter(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) walking(1) flexor digitorum longus(1) home

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